Individual
KELLY CARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2100 STATE AVE, PANAMA CITY, FL 32405-4587
(850) 763-0036
(850) 763-0259
Mailing address
2100 STATE AVE, PANAMA CITY, FL 32405-4587
(850) 763-0036
(850) 769-4665
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
OS14751
FL
207RH0003X
Hematology & Oncology Physician
OS14751
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108120100
—
FL
Enumeration date
05/08/2014
Last updated
02/27/2023
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